Latasha Collins CFNP

NPI 1780089649 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1780089649
Gender Female
Enumeration Date 11/04/2014
Last Updated 11/04/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
971 LAKELAND DR
SUITE 401
JACKSON MS, 39216-4643, US
Phone (601) 939-4230
Fax (601) 664-6694
Business Location
971 LAKELAND DR
SUITE 401
JACKSON MS, 39216-4643, US
Phone (601) 939-4230
Fax (601) 664-6694
Toxanomy
Taxonomy Code 363LF0000X
License State Mississippi
License Number R871496
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According to our database, Latasha Collins CFNP NPI is 1780089649, taxonomy code is 363LF0000X and license number is R871496, license state is located at Mississippi. Latasha Collins CFNP physically located at 971 Lakeland Dr, Jackson MS, 39216-4643. NPI Number Latasha Collins CFNP has the Individual type.

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1780089649 NPI number is provided on an as is basis without warranty of any kind. 1780089649 is maintained by the National Plan & Provider Enumeration System. The contents of Latasha Collins CFNP are for informational purposes only.